Usual Customary and Reasonable Charges (UCR Charges) Law & Legal Definition


Usual customary and reasonable charges (UCR charges) refer to the base amount that is treated as the standard or most common charge for a particular medical service when rendered in a particular geographic area. Third-party payers including insurance carriers and employers use UCR charges to determine the amount to be paid on behalf of an enrollee, for services that are reimbursed under a health insurance policy or health plan. UCR charges should not exceed the amount ordinarily charged by most providers for comparable services and supplies in the locality where the services or supplies are received.